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General NPI Number Information
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NPI Number | 1669966321
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Entity Type | Organization
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Legal Business Name | ANDRES CARTAYA, PSY.D., P.A.
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Dates
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Enumeration Date | 06/17/2018
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Last Update Date | 06/17/2018
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Provider Practice Location Address
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Address Line | 10691 N KENDALL DR STE 105
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City | MIAMI
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State | FL
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Zip | 33176-1596
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Country | US
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Telephone | 305-669-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 340 SW 87TH PATH
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City | MIAMI
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State | FL
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Zip | 33174-3931
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Country | US
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Telephone | 305-299-1522
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDRES CARTAYA
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Credential | PSY.D.
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Telephone | 305-299-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6655
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License Number State | FL
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